| NPI | 1417118605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 64951) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003019) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2021-04-26 |