| NPI | 1437533999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT214836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107140) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-06-20 |