| NPI | 1598393977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0077111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 71039) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2026-06-18 |