| NPI | 1992767362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO 52643) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME57188) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2015-02-04 |