| NPI | 1548257421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 8908) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 8908) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-10-06 |