| NPI | 1881042646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 82844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 008321) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-03-06 |