| NPI | 1477586022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 37982) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME 015928) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-01-09 |