| NPI | 1982691804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E4119) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01062213) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 45057) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U4647) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-11-19 |