| NPI | 1639433428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2018-01311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019781) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-12-27 |