| NPI | 1851548648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID O-1046) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 47743) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2017-06-06 |