| NPI | 1346254885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 29406) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO 29406) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-09-02 |