| NPI | 1942391719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MN 106535) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX J7095) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-01-04 |