| NPI | 1588721146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 74732) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 51323) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD428016) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 103938) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-10-10 |