| NPI | 1306942669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 7683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 007875) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2025-09-11 |