| NPI | 1770593097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MS 19311) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-07-21 |