| NPI | 1043770118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 202101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61282432) |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-04-04 |