| NPI | 1194811109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L2249) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX L2249) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-06-29 |