| NPI | 1396731915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 016209) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA 016209) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2015-05-20 |