NPI | 1629392642 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA MD.204656) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.204656) |
Enumeration Date | 2010-03-19 |
Last Update Date | 2017-09-15 |