| NPI | 1619971140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 267138) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-8919) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D26540) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2023-12-13 |