| NPI | 1144282351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2016-00065) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 28079) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-06-15 |