| NPI | 1164955779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 13440883-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10797) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-01-30 |