| NPI | 1154983237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2022021013) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019021801) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-06-16 |