NPI | 1235102369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 55941) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD071848L) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2023-06-08 |