| NPI | 1427442904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD-22419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A143740) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2022-09-03 |