| NPI | 1043320278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 22761) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2008007036) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-08-03 |