| NPI | 1477874360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID O-0930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-8958) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-07-21 |