| NPI | 1740381177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G54512) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA G54512) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G54512) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-02-25 |