| NPI | 1689609075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D69268) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G59939) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-01-07 |