| NPI | 1336377639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 201500286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31840) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2021-05-26 |