| NPI | 1710467741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 76703) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 125078557) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-06-26 |