| NPI | 1174899801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2018-01204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD15521) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2018-06-25 |