NPI | 1689600512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 49351) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 49351) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2014-06-12 |