| NPI | 1073952834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 21050) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036139744) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT214298) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-12-20 |