| NPI | 1124523642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 13908854-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 68514) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-04-09 |