| NPI | 1629046545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TN MD0000009032) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 9032) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-12-13 |