| NPI | 1528105616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D60211) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D60211) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D60211) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-09-17 |