NPI | 1578574257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 13200) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 13200) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2016-09-16 |