| NPI | 1679515589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NM 97239) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: TX G4000) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-05-02 |