NPI | 1578672663 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MO12680) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MO12680) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-02-12 |