NPI | 1962493551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA a24132) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A24132) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2011-10-06 |