| NPI | 1952379679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO R1H74) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 19283) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2017-10-30 |