NPI | 1922396753 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: VA 0101262567) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT198609) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2021-09-21 |