NPI | 1689872848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: TX P9943) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: LA MD200535) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: LA md200535) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2017-01-02 |