| NPI | 1912979212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 206812) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2015-07-16 |