NPI | 1568414621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: CO DR.0028933) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WY 9349A) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WY 9349A) | |
207R00000X Internal Medicine (Licence: CO DR.0028933) | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO DR.0028933) | |
207R00000X Internal Medicine (Licence: WY 9349A) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2016-03-21 |