| NPI | 1336197102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 81799) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 12526) |
| 207R00000X Internal Medicine (Licence: NV 12526) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G145243) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-07-21 |