| NPI | 1003376146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 73556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 73556) |
| 207R00000X Internal Medicine (Licence: UT 11899057-1205) | |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2023-10-25 |