| NPI | 1346300324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 47948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2004015139) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-07-22 |