| NPI | 1124225487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 54652-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54652-20) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-07-16 |