| NPI | 1134111230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301102377) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01038593) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-07-03 |