NPI | 1588655641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 38102) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 38102) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2012-10-12 |