| NPI | 1528013729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 275189) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 19055) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-05-31 |