| NPI | 1851350854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ME MD22294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00034724) |
| 207R00000X Internal Medicine (Licence: ID M-7228) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00034724) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-7228) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2021-10-19 |