| NPI | 1295861433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G036313) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G036313) |
| 207R00000X Internal Medicine (Licence: CA G036313) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2014-08-21 |