| NPI | 1720158116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME126669) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 36116430) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-02-15 |