| NPI | 1962847541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A154880) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2018-08-01 |