| NPI | 1275729675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D61843) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD036897) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2024-09-09 |