| NPI | 1376863886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 26745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6247) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2019-01-28 |