| 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 |