NPI | 1407957665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A49093) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 17283) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2024-10-14 |