| NPI | 1285690958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-131070) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 32311) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 41054) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2021-02-18 |