| NPI | 1396194973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301502333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022009640) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2022009640) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-08-07 |