NPI | 1649356510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D36665) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301058498) |
207RX0202X Internal Medicine, Medical Oncology (Licence: MI 4301058498) | |
Enumeration Date | 2006-10-31 |
Last Update Date | 2014-02-24 |