NPI | 1932146263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PR 9391) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 9391) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2018-08-30 |