| NPI | 1073576369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX G4032) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 76935) |
| Enumeration Date | 2006-04-09 |
| Last Update Date | 2024-11-08 |