NPI | 1285690958 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-131070) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 32311) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 41054) | |
Enumeration Date | 2006-04-21 |
Last Update Date | 2021-02-18 |