| NPI | 1437261559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 30707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-00903) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-01-06 |