| NPI | 1952749756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME144924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9408230) |
| 207R00000X Internal Medicine (Licence: FL ME144924) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 014-39014) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2023-01-30 |