| NPI | 1316982630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 207302) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: VA 0101240696) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2010-03-01 |