| NPI | 1093702334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 024233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 24233) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2015-01-04 |