| NPI | 1952628646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-44909) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD44909) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A141309) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2021-04-26 |