| NPI | 1568429561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NH 13489) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CT 041305) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2011-07-22 |