NPI | 1710202866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 286732) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 264060) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2022-10-26 |