| NPI | 1619108834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD465342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 60389) |
| 207R00000X Internal Medicine (Licence: MD P24252) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2018-11-28 |