NPI | 1104169358 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D82104) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D82104) |
Enumeration Date | 2013-04-05 |
Last Update Date | 2020-04-22 |