| NPI | 1336552785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 84957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 305582) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-07-22 |