| NPI | 1306850441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME33819) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME 33819) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-10-29 |