| NPI | 1376710434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A125971) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MA 228902) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2022-10-20 |