| NPI | 1821266453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 64183) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2006-01372) |
| 207R00000X Internal Medicine (Licence: NC 2006-01372) | |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2022-01-27 |