| NPI | 1316946262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.202198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 239840-1) |
| 207R00000X Internal Medicine (Licence: MS 19354) | |
| 207R00000X Internal Medicine (Licence: LA 202198) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2012-01-10 |