NPI | 1811180144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A101079) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 101079) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2023-03-08 |