| NPI | 1992945745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 27999) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 49045) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101250904) | |
| 207R00000X Internal Medicine (Licence: TN 49045) | |
| 207R00000X Internal Medicine (Licence: VA 0101250904) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2026-07-07 |