| NPI | 1992933584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 68054) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND PT17684) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 17684) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-12-28 |