| NPI | 1710914098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200300447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 200300447) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 20168) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2024-02-01 |