NPI | 1952385783 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 54111) |
Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: MA 54111) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2007-07-08 |