NPI | 1790102028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S1024) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX s1024) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2023-05-04 |