| NPI | 1346299104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME91430) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 40977) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-12-23 |