| NPI | 1063647642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AK 125925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 27191) |
| 207R00000X Internal Medicine (Licence: AK 125925) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2020-08-13 |