| NPI | 1821452822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 283262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me140093) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-09-03 |