| NPI | 1548377658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036121909) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 46864) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 55805) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2025-03-19 |