| NPI | 1649459942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2009-01260) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 61289) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2023-06-20 |