| NPI | 1083664387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D59427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D59427) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-02-07 |