| NPI | 1184061756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 265460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255796) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2021-07-22 |