| NPI | 1144231374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D31941) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC 12239) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-10-14 |