| NPI | 1427096098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 9408) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME 009408) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2012-03-05 |