| NPI | 1427143056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 25457) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 25457) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 25457) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-04-24 |