NPI | 1851741318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: PA MD465833) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210884) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2022-07-01 |