| NPI | 1881828747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 301441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036139086) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2016-07-10 |