| NPI | 1881123370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 281663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271543) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-09-22 |