| NPI | 1093087611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 3010) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 3010) |
| 207R00000X Internal Medicine (Licence: MS T-2337) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 58-004978) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 115288) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 90050) | |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-11-12 |