| NPI | 1588950596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 072281) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 072281) |
| 207R00000X Internal Medicine (Licence: GA 4777) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-01-14 |