| NPI | 1932164944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 36411) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 36411) |
| 207R00000X Internal Medicine (Licence: MA 36411) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-05-23 |