| NPI | 1043484439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 250938) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000046517) |
| 207R00000X Internal Medicine (Licence: MA 250938) | |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: OH 35.131455) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN MD0000046517) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-12-07 |