NPI | 1528301942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 266855) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266855) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2019-07-02 |