| NPI | 1497808950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA BH6437075) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: OK 28280) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-06-05 |