| NPI | 1427012160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301104641) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 48402) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 54868-20) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2014-08-08 |