| NPI | 1831161785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: PA MD043920E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD043920E) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2010-09-24 |