NPI | 1518178805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 312183) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10025666) |
207R00000X Internal Medicine (Licence: NC 2015-01890) | |
207R00000X Internal Medicine (Licence: KY 42436) | |
207RT0003X Internal Medicine, Transplant Hepatology (Licence: NC 2015-01890) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2021-07-21 |