| NPI | 1356873020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NV 25444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 289512) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-06-04 |