NPI | 1548372493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00043135) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043135) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-06-03 |