| NPI | 1407389984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A170195) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 58717) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-09-26 |