| NPI | 1336288166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: NC 9600751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9600751) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 9600751) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-10-17 |