| NPI | 1467413591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 50399) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WV 21304) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-11-18 |