| NPI | 1588854038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD483184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60080553) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2025-02-27 |