| NPI | 1831516806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 85350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01805) |
| 207R00000X Internal Medicine (Licence: MI 4301114037) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-09-13 |