NPI | 1194909630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OR MD205107) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA A98796) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A98796) | |
207RX0202X Internal Medicine, Medical Oncology (Licence: OR MD205107) | |
Enumeration Date | 2007-12-19 |
Last Update Date | 2023-04-13 |