| NPI | 1215386511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 276620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267522) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-03-25 |