| NPI | 1043731870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2020024367) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020024367) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2026-07-01 |