| NPI | 1366443483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO CDRH.0050637) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 33441) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-05-21 |