| NPI | 1669720835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301106756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301106756) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2025-03-11 |