| NPI | 1831452671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 20109033505) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2010037345) |
| 183500000X Pharmacist (Licence: WI 15693040) | |
| 207R00000X Internal Medicine (Licence: WI 64188-20) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2019-08-27 |