| NPI | 1841636768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 277089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03502) |
| 207R00000X Internal Medicine (Licence: MA 277089) | |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2021-02-12 |