| NPI | 1134330988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A103347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244407) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-08-28 |