| NPI | 1164536066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 229757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229757) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-10-26 |