| NPI | 1831191584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036112478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-112478) |
| 207R00000X Internal Medicine (Licence: MN 52143) | |
| 207R00000X Internal Medicine (Licence: IL 036112478) | |
| 207R00000X Internal Medicine (Licence: MN 104298) | |
| 207R00000X Internal Medicine (Licence: WV 22594) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2011-03-09 |