| NPI | 1831178771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MD D26395) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0026395) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2015-10-03 |