NPI | 1417916073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01033451) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01033451A) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2023-06-05 |