NPI | 1003857384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D40987) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D40987) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2013-02-06 |