| NPI | 1467474502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME104836) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2005027154) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-11-18 |