| NPI | 1184864407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX BP10027029) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX N7450) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01068927A) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2010-11-15 |