NPI | 1497859409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 17004) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 170040) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2023-03-08 |