| NPI | 1932190360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 38068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD38068) |
| 207R00000X Internal Medicine (Licence: LA 201797) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-03-21 |