| NPI | 1639210107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 247227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49662) |
| 207R00000X Internal Medicine (Licence: MD D67823) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2011-07-08 |