| NPI | 1194927913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2007-01268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 122191) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-12-14 |