| NPI | 1316266554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NE 26385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 26385) |
| 207R00000X Internal Medicine (Licence: NC 2017-00638) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2017-00638) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-09-22 |