| NPI | 1285665935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NH 11430) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MA 77090) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-08-13 |