| NPI | 1295825685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2009007667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 36919) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-33659) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-11-12 |