| NPI | 1710194626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A99511) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD15632R) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2024-1280) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-04-22 |