| NPI | 1356398531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M6774) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301064994) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 197823) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-09-10 |