| NPI | 1700886702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G16403) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: AR G16403) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2013-04-26 |