| NPI | 1245494889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: DC MD038192) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD038192) |
| 174400000X Specialist (Licence: MD D69440) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-12-10 |