NPI | 1104886241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A67079) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A67079) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2019-08-16 |