| NPI | 1083637300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G34899) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: ID M-16855) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-10-12 |