| NPI | 1932362779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301100468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054308) |
| 207R00000X Internal Medicine (Licence: MI 4301100468) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-06-16 |