| NPI | 1750394516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 27834) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01039387A) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-09 |