| NPI | 1871807461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: DC 041751) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: DC MD041751) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2018-10-01 |