NPI | 1326072661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 45310) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 45310) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2013-09-05 |