| NPI | 1427218601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 26366) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 26366) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-08-29 |