| NPI | 1851664577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G11704) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G11704) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |