| NPI | 1184861791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q8499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39291) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 39291) | |
| 207R00000X Internal Medicine (Licence: AZ 72799) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2025-10-16 |