NPI | 1700103231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D00041015) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G86326) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2010-04-23 |