| NPI | 1356667430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME101336) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME 101336) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD 030949 E) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2011-01-28 |