NPI | 1619068012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L3202) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX L3202) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2021-01-04 |