NPI | 1356785265 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 65570) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY KY49494) |
207R00000X Internal Medicine (Licence: KY TP231) | |
207R00000X Internal Medicine (Licence: KY R3165) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 40791) | |
Enumeration Date | 2013-04-22 |
Last Update Date | 2023-02-20 |