| NPI | 1073703401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M9599) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 002897) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2013-01-18 |