| NPI | 1003140922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A10932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A10932) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2020-01-21 |