| NPI | 1639469950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD448765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD448765) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2020-02-10 |