| NPI | 1164694337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301086213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086213) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2016-11-02 |