NPI | 1689821829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 46832) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01407) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2014-06-11 |