| NPI | 1881824365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 63005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055678) |
| 207R00000X Internal Medicine (Licence: OH 35.098843) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2015-07-08 |