| NPI | 1932169042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-5647) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID m5647) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-08-12 |