| NPI | 1568422673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2014021757) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-101288) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-08-27 |