| NPI | 1689811325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 85614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125050652) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2020-12-07 |