| NPI | 1093997363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 260218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 48824) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2021-07-08 |