| NPI | 1508027541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 10950437-1205) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-14475) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2026-06-15 |