NPI | 1407015449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 261626) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY P58489) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 49576) | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2015-03-09 |