| NPI | 1548584220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 2511) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SD 2511) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |