| NPI | 1689824468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2016010309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 003414) |
| 207R00000X Internal Medicine (Licence: IA 40876) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 40876) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2017-03-14 |