Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 212888 | MA |
NPI | 1083680680 |
---|---|
Provider Name | Dr. Rameen Beroukhim |
First Address | Brookline, MA 02446-5244 |
Second Address | Boston, MA 02115-6013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 08/07/2007 |