| NPI | 1255430096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME82848) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G068495) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 17417) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-10-10 |