| NPI | 1861807778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 2019002817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019002817) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-04-25 |