| NPI | 1962581249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AK MEDS6690) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX L1382) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-01-06 |