| NPI | 1780849190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2014008652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 51958) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 51958) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2014-08-28 |