| NPI | 1508246620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: ME MD25789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263233) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2022-07-05 |