| NPI | 1730596925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME167795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064810) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 11769078-1205) | |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2024-10-16 |