NPI | 1518102607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 247268) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 247268) |
Enumeration Date | 2008-12-03 |
Last Update Date | 2020-10-22 |