| NPI | 1700307949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL DO.2519) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 2519) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-10-18 |