NPI | 1679554588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 79707) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 79707) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2012-09-05 |