NPI | 1073924056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV DO2226) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1021) |
Enumeration Date | 2014-05-13 |
Last Update Date | 2024-03-18 |