NPI | 1568436137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 117156-1) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD034865L) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2021-03-18 |