| NPI | 1629147863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D36597) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MD D36597) |
| 207Y00000X Otolaryngology (Licence: MD D36597) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |