| NPI | 1295957587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-37829) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 27015) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E7273) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-12-30 |