| NPI | 1821093360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX F6346) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 014335) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2011-07-20 |