| NPI | 1962564153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 238109) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NH 9685) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-02-22 |