| NPI | 1528121563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2010-01969) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME98151) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-09-28 |