NPI | 1649310764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 24490) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 24490) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2021-01-26 |