| NPI | 1730434119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 68771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044197) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2018-07-13 |