NPI | 1033175534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101050597) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101050597) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2007-09-25 |