| NPI | 1528214442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2020-03479) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13942) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2020-08-05 |