| NPI | 1184144941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA DO-06336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10933) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-08-01 |