| NPI | 1548767114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5315093249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351027291) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2021-11-04 |