| NPI | 1407015449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 261626) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY P58489) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 49576) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2015-03-09 |