| NPI | 1386802700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD034509) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-113768) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D69381) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2022-01-19 |