| NPI | 1093872392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME57253) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 57253) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-03-25 |