| NPI | 1669888269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61552696) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AK 237105) |
| 207R00000X Internal Medicine (Licence: ME EC211020) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2025-09-17 |