NPI | 1619268497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 308597) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0057001) |
Enumeration Date | 2011-04-27 |
Last Update Date | 2024-03-04 |