NPI | 1013998335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ MD23833) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ MD23833) |
Enumeration Date | 2005-11-14 |
Last Update Date | 2007-07-08 |