NPI | 1003871336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 159677) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: LA 14387R) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2013-02-08 |