| NPI | 1255504080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.140573) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 281190) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 55796) | |
| 207R00000X Internal Medicine (Licence: MN 55796) | |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2022-07-21 |