| NPI | 1043226194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD040490) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA g55282) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-09-06 |