| NPI | 1891905600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 54163-20) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-129678) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 22432-20) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-10-04 |