NPI | 1275952061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 13872636-1205) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME150315) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2024-08-19 |