| NPI | 1629392642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.204656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.204656) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2017-09-15 |