| NPI | 1487965372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA DO-04222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9008) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2023-12-26 |