NPI | 1447460274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: UT 8029607-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-7299) |
207K00000X Allergy & Immunology (Licence: IA R-8149) | |
207RX0202X Internal Medicine Medical Oncology (Licence: IA R-8589) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2021-11-02 |