| NPI | 1205890530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 12956) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AZ 12956) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-02-20 |