NPI | 1811098304 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX M4512) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301082914) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: TX M4512) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2013-02-21 |