| NPI | 1730172149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MA 221231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 221231) |
| 207RX0202X Internal Medicine Medical Oncology (Licence: VA 0101245091) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2016-06-07 |