| NPI | 1700197498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 10002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6243) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2022-07-21 |