| NPI | 1780894790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2012-0201) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10025658) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-11-15 |