| NPI | 1295913531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 52047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002674) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2013-09-17 |