| NPI | 1417932179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA 24761) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: IA 24761) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-10-18 |