| NPI | 1649761388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2024-01602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114802) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-08-19 |