NPI | 1851664577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA G11704) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA G11704) |
Enumeration Date | 2012-02-10 |
Last Update Date | 2012-02-10 |