| 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 |