| NPI | 1518963032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A38582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A38582) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2010-07-14 |