| NPI | 1366541294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO 42949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9191) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-02-09 |