| NPI | 1750452892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: GA 067235) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0041702) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2014-02-25 |