| NPI | 1689600512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 49351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 49351) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-06-12 |