| NPI | 1598227449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX V6048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 69928) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-06-26 |