| NPI | 1306195680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301036230) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 36230) |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2013-10-31 |