| NPI | 1538256086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 6217) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 042-0008703) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-04-23 |