NPI | 1790781979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0033443) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0033443) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2016-10-10 |