NPI | 1134616873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 307315) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D48432) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2021-06-08 |