NPI | 1629269774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX M9018) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000041364) |
208M00000X Hospitalist (Licence: TN MD0000041364) | |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M9018) | |
Enumeration Date | 2007-08-05 |
Last Update Date | 2010-03-26 |