NPI | 1295052322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV DO1797) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO1797) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2022-07-21 |