| NPI | 1184821506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 0052216) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5704) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-08-22 |