| NPI | 1265561070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: AZ 44221) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: TX J1479) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-07-07 |