NPI | 1285617803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01054848A) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 46921) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2023-02-10 |