| NPI | 1376526558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 25604) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 36804) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME115486) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 19256) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-09-14 |