| NPI | 1932215795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 226754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 226754) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-01-17 |