| NPI | 1598407926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-57082) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-173774) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2026-05-08 |