| NPI | 1164484341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD12803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD12803) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-04-30 |