| NPI | 1063673606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101258060) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0009347) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2021-05-19 |