| NPI | 1437153046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 23307) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 27567) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2009-09-03 |