| NPI | 1245624279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 92980) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.36493) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-08-08 |