| NPI | 1457382079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G26341) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX F0507) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-04-12 |