| NPI | 1659488682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA 28382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 28382) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-03-25 |