| NPI | 1780664136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA 20A9260) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 020A92600) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-03-11 |