| NPI | 1356328991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C54611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84972) |
| 207R00000X Internal Medicine (Licence: LA MD.205198) | |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2022-07-21 |