| NPI | 1609891019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D43162) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: DC MD18942) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-04-07 |