| NPI | 1013998947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 6091250-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217647) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2021-08-10 |