| NPI | 1356879860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A169578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271994) |
| Enumeration Date | 2017-05-28 |
| Last Update Date | 2023-07-11 |