NPI | 1891748331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD00046000) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD13720) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-07-31 |