| NPI | 1699765776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 152591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 152591) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2024-01-05 |