| NPI | 1396922878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 81259) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL MD.31651) |
| 207R00000X Internal Medicine (Licence: GA 1447) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 51115) | |
| Enumeration Date | 2008-01-27 |
| Last Update Date | 2021-03-29 |