| NPI | 1346576246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 17676) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 042.0014179) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2019-01-04 |