NPI | 1073540332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD430090) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D85863) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2021-01-09 |