| NPI | 1457389280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 44038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 44038) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-03-07 |