| NPI | 1386176972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME tp22081) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE c20013214) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2023-06-26 |