NPI | 1336174002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G19187) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G19187) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2012-01-06 |