| NPI | 1881073062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA 326530) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2934) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-06-21 |