| NPI | 1851373823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 20955-875) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C20003705) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2022-08-10 |