| NPI | 1659578052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MT 20027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 20385) |
| 207R00000X Internal Medicine (Licence: MT 20027) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 20385) | |
| 208000000X Pediatrics (Licence: MS 20385) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-11-27 |