| NPI | 1780889485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 27724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007013404) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2014-06-17 |