| NPI | 1205850435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 071207) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 11332) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-09-18 |