| NPI | 1558335265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 15795) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IN 01039312a) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |