NPI | 1356617732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD458680) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD458680) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2018-12-24 |