| NPI | 1417242462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD-17610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD 17610) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2019-10-28 |