| NPI | 1760401657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA DO-03941) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 49087) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 102479) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-11-11 |