NPI | 1053340802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN 12823) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MS 12260) |
207RX0202X Internal Medicine, Medical Oncology (Licence: AR R3993) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2024-02-21 |