| NPI | 1033121116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME36352) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL me36352) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-02-24 |