NPI | 1861830416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 266096) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266096) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2019-05-01 |