| NPI | 1730309915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 10594) |
| Additional Taxonomies | 225B00000X Pulmonary Function Technologist (Licence: PR 10594) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2023-09-14 |