| NPI | 1235387531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P3776) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WA MD60016989) |
| 207R00000X Internal Medicine (Licence: TX P3776) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2012-08-02 |