NPI | 1033603287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME168357) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071659) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-10-29 |