| NPI | 1851824098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD220746) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 94-10607) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-11-13 |