| NPI | 1134386014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 240447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228199) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2014-04-16 |