NPI | 1447484779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MA 243362) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107423) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2015-08-12 |