| NPI | 1881623692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 51663) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 001958) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 104152) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-07-27 |