| NPI | 1952331340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2007-01734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101236921) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-08-07 |