NPI | 1356380851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MS 24804) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NV 13104) |
207RX0202X Internal Medicine, Medical Oncology (Licence: UT 8192686-8018) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2017-03-24 |