| NPI | 1669788337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 39017) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IA 39560) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2015-06-02 |