| NPI | 1427034834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MT 8025) |
| Additional Taxonomies | 174400000X Specialist (Licence: MT 8025) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2019-06-17 |