| NPI | 1962471755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME95517) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E2824) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 11125) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2024-04-03 |