| NPI | 1326130071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G50415) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G50415) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |