| NPI | 1073581864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO R3D52) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KS 0423186) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2017-10-26 |