| NPI | 1649270539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J8974) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E0731) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 16975) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2010-05-20 |