NPI | 1679834329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX R7348) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043123) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2018-06-07 |