| NPI | 1316387368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL me132915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME132915) |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2022-01-21 |