| NPI | 1700082039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.206098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS20070284) |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2021-03-03 |