| NPI | 1902019078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D73900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 45302) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2002015753) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101249172) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-08-13 |