| NPI | 1487688032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM MD2010-0069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 17721) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 6074) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-09-30 |