| NPI | 1720072267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: TN 25739) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 025739) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2011-03-29 |