| NPI | 1487813010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 245561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-236372) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2013-07-29 |