| NPI | 1740470731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 61105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L1127555) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-10-16 |