| NPI | 1265623458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301095260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095260) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX BP1-0023228) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-12-16 |