NPI | 1659997542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2021040464) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021040464) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2022-06-14 |