| NPI | 1922359652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2012023680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012023680) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2024-09-17 |