| NPI | 1710069885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 008834) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: HI DOS0671) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2024-09-16 |