| NPI | 1225559529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 72482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.152977) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-04-18 |