NPI | 1215996301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036121222) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 39423) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2013-08-29 |