NPI | 1225036981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 000413) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI DO00565) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2025-06-23 |