| NPI | 1104039221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 223512) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 035525) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |