| NPI | 1295172286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 30907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201700814) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2026-07-30 |