| NPI | 1467715797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 11485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6841) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-07-01 |