| NPI | 1083751846 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D66156) | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD049196) | 
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD 205356) | |
| Enumeration Date | 2007-01-31 | 
| Last Update Date | 2025-09-05 |