| NPI | 1700044641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 15322) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-111669) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD28217) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-01-10 |