NPI | 1346568011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD447525) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197340) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2019-09-20 |