| NPI | 1881734002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10002024) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C10002024) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-07-12 |