| NPI | 1245760271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 41063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 41063) |
| 208000000X Pediatrics (Licence: SC 41063) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-07-08 |