NPI | 1306195680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301036230) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MI 36230) |
Enumeration Date | 2012-09-03 |
Last Update Date | 2013-10-31 |