| NPI | 1659669000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.130365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.134780) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-04-30 |