| NPI | 1942221742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD-17783) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G60988) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-10-12 |