| NPI | 1104891704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 23595) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036059280) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 51566) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-04-09 |