| NPI | 1932355401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D0064169) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CT 015675) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |