| NPI | 1073523791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 7484405-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036087801) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036087801) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2004030793) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-01-31 |