| NPI | 1083751846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D66156) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD 205356) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD049196) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-01-20 |