NPI | 1023155827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D67993) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D67993) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2016-07-25 |