| NPI | 1992762439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 7390) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MT 6464) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: AK 2700) | |
| 207R00000X Internal Medicine (Licence: ID M4320) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2008-01-10 |