| NPI | 1851895148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A163497) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A163497) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: CA A163497) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-01-14 |