| NPI | 1033156310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 11149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 11149) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 17683) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-08-07 |