| NPI | 1679890271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A118491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A118491) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2021-05-12 |