| NPI | 1932390119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P6805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0028941) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX BP10028941) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-08-22 |