| NPI | 1790721488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D21394) |
| Additional Taxonomies | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: MD D21394) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2010-01-27 |