| NPI | 1598298614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME148897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 97405) |
| 207R00000X Internal Medicine (Licence: CA A197098) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A197098) | |
| 207R00000X Internal Medicine (Licence: MI 4301500303) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-07-24 |