| NPI | 1780770552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME111336) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX K3867) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-02-25 |