| NPI | 1437161221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD52625) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN MD52625) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 48957) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 102614) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2022-03-21 |