| NPI | 1962610774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 076161) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0009462) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-09-19 |