| NPI | 1801856711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: FL ME106907) |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MI 4301041127) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-02-20 |