| NPI | 1861725053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 000000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194426) |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2021-04-26 |