| NPI | 1861618597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 52965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-050780) |
| 207R00000X Internal Medicine (Licence: WI 52965) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C168125) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-11-22 |