| NPI | 1508976838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD-432584) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD25456) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 14150R) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MT-049210-T) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-03-22 |