| NPI | 1235105420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: SC 83768) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS9578) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2022-06-03 |