| NPI | 1053388108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 227847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 221098) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2013-10-08 |