| NPI | 1386818904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD d97940) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD205622) |
| 207R00000X Internal Medicine (Licence: PA MD433669) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2023-06-27 |