NPI | 1225293038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A109445) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109445) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2016-07-12 |