| NPI | 1134180516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WY 6051A) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: WY 6051A) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: SD 7165) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-10-14 |