| NPI | 1669404091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME68757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME68757) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-02-05 |