| NPI | 1447217641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: RI MD09817) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 161008) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-05-04 |