| NPI | 1306800727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME99701) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ND 10496) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M6468) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 17471) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 238898) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C52602) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 11841) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-04-27 |