| NPI | 1639443823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 21077) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E-13239) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-42458) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2022-12-13 |