| NPI | 1225230543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 44999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 44809) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-04-16 |