| NPI | 1457445579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: WI 46104) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MI 4301082745) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: MO 2008020485) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-12-04 |