| NPI | 1023095809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 5086790-1205) |
| Additional Taxonomies | 174400000X Specialist |
| 174400000X Specialist (Licence: UT 5086790-1205) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2022-05-18 |