NPI | 1184890584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 84415) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089562) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2020-11-05 |