| NPI | 1205248440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS17982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME DO2763) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-03-31 |