| NPI | 1740477116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 49629) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101253344) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2013-09-30 |