| NPI | 1104860436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 52537) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 6268) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-03-17 |