| NPI | 1407881345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD045639) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 76331) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 78921) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 13156-320) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61659605) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-02-18 |