| NPI | 1821619388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.164185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076205) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-07-31 |