NPI | 1275813354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME149843) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036134391) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2021-09-02 |