| NPI | 1245236918 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI DO00347)  | 
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI DO00347)  | 
| Enumeration Date | 2005-06-27 | 
| Last Update Date | 2024-07-24 |