| NPI | 1326087818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 17395) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OK 17395) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-08-29 |