| NPI | 1366527277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME98134) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 1009) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-28 |