| NPI | 1033406566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C196447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C196447) |
| 207R00000X Internal Medicine (Licence: IL 125060240) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-03-11 |