| NPI | 1427135102 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R5957) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 0415715) | 
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2007-07-08 |