| NPI | 1518126945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 242571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-236013) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-06-12 |