NPI | 1508849381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101-242430) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 9501454) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2021-08-18 |