NPI | 1427495274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60941810) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA M60941810) |
Enumeration Date | 2013-06-03 |
Last Update Date | 2020-12-07 |