| NPI | 1467076257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 39826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11910) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-06-30 |