| NPI | 1063568947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C54757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C54757) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD-13365) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-02-14 |