NPI | 1043252455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD422849) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD422849) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2019-08-21 |