| NPI | 1255345963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME0048892) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0048892) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-07-20 |