| NPI | 1245442193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A109835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002797-1) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 37132) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-03-10 |