| NPI | 1306286737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U6101) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 26617) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2025-12-08 |