| NPI | 1487751798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A52586) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A52586) |
| 208800000X Urology (Licence: CA A52586) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-01-09 |