| NPI | 1629430269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 307297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 307297) |
| 207P00000X Emergency Medicine (Licence: LA 307297) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-08-21 |