NPI | 1184886996 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 31133) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31133) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2020-01-24 |