| NPI | 1497160600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0013609) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 32905) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-07-15 |