| NPI | 1346698289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D93779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39521) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-06-16 |