NPI | 1013023902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 16993) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WV 16993) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2010-01-29 |