| NPI | 1184608994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OR MD22262) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD22262) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2013-05-20 |