| NPI | 1649426222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 0051688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL0510) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2016-05-31 |