| NPI | 1285785907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0063223) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101244366) |
| 207R00000X Internal Medicine (Licence: DC MD036175) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2024-02-16 |