| NPI | 1629053558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME105177) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 45477) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2009-11-19 |