| NPI | 1457550576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 336.087094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50979) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2014-04-19 |