| NPI | 1710341664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0070999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069004) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2025-12-09 |