NPI | 1215983895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX j5933) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J5933) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2012-05-10 |