| NPI | 1447448444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301505991) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101717) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A101717) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2022-07-12 |