| NPI | 1750582458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M6469) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 20763) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-04-10 |