| NPI | 1235120015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D062843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D062843) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-05-10 |