NPI | 1871869420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60840092) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60840092) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2021-12-03 |