| NPI | 1013106178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0033069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0033069) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MD D0033069) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2023-12-20 |