| NPI | 1750324463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD016180) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 016180) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-11-24 |