| NPI | 1477549517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VT 0420006462) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: VT 6462) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2014-12-04 |