| NPI | 1942456710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q6981) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM A-2284-19) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 063808) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2022-04-05 |