| NPI | 1720015902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G39850) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G39850) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-02-25 |