NPI | 1801006275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME113233) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301084396) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2012-09-25 |