| NPI | 1568421147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA 070779) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: AZ 36209) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-09-19 |