| NPI | 1578899027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 324273) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 50558) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2023-08-17 |