| NPI | 1366429748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R5C64) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 26645) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 26645) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-11-20 |