| NPI | 1124250022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A130101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094003) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2017-03-23 |