| NPI | 1518054543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301109503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 162163) |
| 207R00000X Internal Medicine (Licence: IN 01062731A) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-07-25 |