| NPI | 1982689048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NH 13568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 13568) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-01-13 |