| NPI | 1174600613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME MD13411) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 15779) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-03-25 |