| NPI | 1639604275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-17255) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76092) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ R76092) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-17255) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2023-06-21 |