NPI | 1326071804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD18040) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD18040) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2022-10-10 |