| NPI | 1568436855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me0026917) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME26917) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-06-02 |