NPI | 1326112913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 168064) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC HTL-098) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2024-10-25 |