| NPI | 1962516682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.12226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 000012226) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2026-03-30 |