| NPI | 1093276255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2025-01022) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.42023) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-07-25 |