| NPI | 1275837205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA CA119213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA CA119213) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2019-07-03 |