| NPI | 1417063694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 2012-01381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48654) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-04-09 |