| NPI | 1194344085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME162302) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.161902) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2023-07-07 |