| NPI | 1144475294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 104223) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KS 04-25427) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2009-02-17 |