| NPI | 1144663501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301109919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109919) |
| 207R00000X Internal Medicine (Licence: CA A133765) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-02-05 |