| NPI | 1801926233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 43375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 43375) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2025-09-11 |