| NPI | 1053447672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 24990-020) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301051468) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |