NPI | 1386818904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD d97940) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD205622) |
207R00000X Internal Medicine (Licence: PA MD433669) | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2023-06-27 |