| NPI | 1942640180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301506492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 894-L) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 25854) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2023-08-14 |