| NPI | 1225520067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 99846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 010058) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-08-07 |