| NPI | 1306004270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2012-01277) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N3585) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2013-12-13 |