| NPI | 1578548376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 54546) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IA 35503) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2016-10-14 |