| NPI | 1699020933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-44764) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 44764) |
| 207R00000X Internal Medicine (Licence: IA 44764) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-11-11 |