| NPI | 1316526866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 79358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R78617) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2025-05-16 |