| NPI | 1710368493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 279274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263614) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2024-10-03 |