NPI | 1154640704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 77980) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A113811) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2015-01012) | |
Enumeration Date | 2010-05-21 |
Last Update Date | 2025-09-17 |