| NPI | 1609877968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA C53891) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301037733) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301037733) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-04-27 |