| NPI | 1689654303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 25396) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 38710) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 45765) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2019-08-26 |