| NPI | 1598868747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME 15752) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 22296) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-06-15 |