| NPI | 1194257766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 95546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 227154) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2023-05-23 |