| NPI | 1215458922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301500822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112924) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2025-01-29 |