| NPI | 1083801450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A97490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A97490) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2016-03-07 |