| NPI | 1225559081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U8680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04136) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-07-15 |