| NPI | 1841401940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 064388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185598) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-11-05 |