| NPI | 1467420273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G27215) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G27215) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-11-02 |