NPI | 1518054543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301109503) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 162163) |
207R00000X Internal Medicine (Licence: IN 01062731A) | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2022-07-25 |