| NPI | 1407209471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.44082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39800) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-09-19 |