| NPI | 1700848140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID MC-1590) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI EMC0000767) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD021585E) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO CDRH.0065406) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2025-03-26 |