| NPI | 1104289735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AL 38258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.38258) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-06-30 |