| NPI | 1124113410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 175990) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX J1817) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-01-23 |