NPI | 1982196499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: MO 2024023632) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024023632) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2024-08-08 |