| NPI | 1114184645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 55594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8187) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 27399) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-04-18 |