| NPI | 1326043514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 41197) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 040317) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.133781) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2015-02-05 |