| NPI | 1528297199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: KY 48287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48287) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2015-07-17 |