| NPI | 1841422839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 27394) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2009-0532) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2017-03-14 |