NPI | 1164442984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD039258L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD039258) |
207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: PA MD039258L) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2014-11-18 |