| NPI | 1255407763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD423780) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 42585) |
| 207R00000X Internal Medicine (Licence: PA MD423780) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-09-27 |