| NPI | 1093719791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 18365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 18365) |
| 207R00000X Internal Medicine (Licence: IA 30638) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 30638) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-08-22 |