| NPI | 1578526570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 38961) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD031520E) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD031520E) | |
| 207R00000X Internal Medicine (Licence: PA MD031520E) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-12-16 |