NPI | 1740263565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX G0905) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G0905) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2019-11-12 |