| NPI | 1225199813 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 50090) | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036-114639) | 
| Enumeration Date | 2006-12-13 | 
| Last Update Date | 2007-08-01 |