| NPI | 1477833028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.38735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 65859) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2025-05-02 |