| NPI | 1538129226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME ME13306) |
| Additional Taxonomies | 225500000X Specialist/Technologist (Licence: ME 013306) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2022-03-10 |