| NPI | 1275613721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 275053-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 275053-1205) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-10-10 |