NPI | 1508121492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01079560A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060825) |
Enumeration Date | 2012-07-07 |
Last Update Date | 2018-10-23 |