| NPI | 1184788432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A102491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT186453) |
| 207R00000X Internal Medicine (Licence: CA A102491) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-04-23 |