| NPI | 1144289976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 205206) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 205206) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2012-03-28 |