| NPI | 1184623936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-52754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-52754) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 23780) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2024-05-23 |