| NPI | 1659535961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD467061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008007855) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2021-08-27 |