| NPI | 1073635462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 7728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37093) |
| 207R00000X Internal Medicine (Licence: MI 4301083503) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-12-15 |