| NPI | 1144714387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 65833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65833) |
| 207R00000X Internal Medicine (Licence: MN 29139) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2021-06-22 |