| NPI | 1881603132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-116181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-116181) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-03-23 |