| NPI | 1114456290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NH 24457) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017018385) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 2020013285) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-07-19 |