| NPI | 1629104807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME130463) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C52127) |
| 204F00000X Transplant Surgery (Licence: LA 304283) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 304283) | |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2019-02-07 |