| NPI | 1114124237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: ME MD19612) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 232748) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2013-06-13 |