NPI | 1578766796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: IL 036125938) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57010826) |
207RX0202X Internal Medicine Medical Oncology (Licence: MN 60946) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2024-02-14 |