NPI | 1609096577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E5166) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 42346) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2015-07-20 |