| NPI | 1457369712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 1816) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036143239) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WI 1816) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036143239) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.070880) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-03-27 |