| NPI | 1275813354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME149843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036134391) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2021-09-02 |