| NPI | 1568482362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 39616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D64823) |
| 207R00000X Internal Medicine (Licence: IA 39616) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-08-03 |