| NPI | 1942327747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 29709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME98213) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2013-07-03 |