| NPI | 1285677377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-12655) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME91132) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 234398) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-12-07 |