| NPI | 1588811335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 251164) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 251164) |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2017-10-17 |