| NPI | 1134354418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 57793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107767) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2020-08-14 |