| NPI | 1326112913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 168064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC HTL-098) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-07-06 |