| NPI | 1295173417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 49201) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49201) |
| 207R00000X Internal Medicine (Licence: TX BP10047612) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-10-27 |