NPI | 1992118178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: NY 284687) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-259709) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2020-04-27 |