| NPI | 1972693554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301112462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112462) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 42161) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-07-21 |