| NPI | 1154369577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 40427) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M1476) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-07-18 |