| NPI | 1386656049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 40370) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD425240) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2010-01-14 |