| NPI | 1750548400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2012-00973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102903) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2013-06-26 |