NPI | 1598078925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301096252) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096252) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2018-08-21 |