NPI | 1538154158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME148126) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 019877) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 200901737) | |
Enumeration Date | 2005-09-20 |
Last Update Date | 2025-01-22 |