| NPI | 1821447301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 61933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 61933) |
| 207R00000X Internal Medicine (Licence: MA 267789) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-10-30 |