| NPI | 1811150352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 30913) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL30913) |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2020-11-10 |