| NPI | 1154616035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD182749) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:060286) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2023-12-05 |