| NPI | 1285096156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2024-01836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60875252) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2025-09-11 |