| NPI | 1275675472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD017787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD017787) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-07-25 |