NPI | 1679968218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA A177323) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A177323) |
207R00000X Internal Medicine (Licence: PA MT210079) | |
Enumeration Date | 2015-03-31 |
Last Update Date | 2024-04-26 |