| NPI | 1376021584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NM MD2024-0849) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: DC MD210001316) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2024-10-11 |