| NPI | 1326275868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2008028523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008028523) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2021-11-29 |