NPI | 1053386748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME57024) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0057024) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2007-12-17 |