| NPI | 1336482140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 007009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 007009) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2021-09-28 |