NPI | 1174661425 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D68347) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL me168183) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2024-12-02 |