| NPI | 1093177990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A176797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A176797) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-04-10 |