| NPI | 1013023902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WV 16993) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WV 16993) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-01-29 |