| NPI | 1992799431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0102202399) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL OS7260) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2014-12-29 |