| NPI | 1306370135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D96793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-00355) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-08-24 |