| NPI | 1508887522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 4166R) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO CDR.0005066) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2025-04-10 |