| NPI | 1689197980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 81463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070483) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 125.070483) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 125070483) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-07-19 |