| NPI | 1306932926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 23269) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 23269) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-09-14 |