| NPI | 1245487875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OR MD29355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL17585) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2014-04-15 |