| NPI | 1386093417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 20A23041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39356) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-08-30 |