| NPI | 1467501080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A103881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224629) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2011-01-25 |