| NPI | 1619139672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T5172) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-7840) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-02-09 |