NPI | 1578120176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D0102788) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 280702) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2025-04-23 |