| NPI | 1871753830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 16607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091922) |
| 207R00000X Internal Medicine (Licence: NH 16607) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2014-08-04 |