| NPI | 1942294426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 49643) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 9734) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2017-08-22 |