| NPI | 1386630952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MT 55604) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 05113R) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301114734) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 05113R) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-09-16 |