| NPI | 1629078985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO R3C82) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MO R3C82) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-03-20 |