| NPI | 1942526371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 1298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11015517A) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2019-07-10 |