| NPI | 1437249083 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101040400) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101040400) | 
| Enumeration Date | 2006-10-13 | 
| Last Update Date | 2008-06-02 |