| NPI | 1033771001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME154073) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME154073) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2025-06-23 |