| NPI | 1821470295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 10776955-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.067101) |
| 207R00000X Internal Medicine (Licence: UT 107769551204) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-08-02 |