| NPI | 1124005897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 9801123) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 32308) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101050316) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2023-07-20 |