NPI | 1831108620 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 41843) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 41843) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2019-05-15 |