| NPI | 1215996814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: DC MD3623) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101021052) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-05-11 |