| NPI | 1861475840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MD D0056065) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: DC MD21536) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |