| NPI | 1124133921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 224213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224213) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-11-25 |