| NPI | 1982667846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G20282) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.57413) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-09-22 |