NPI | 1932218963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G41079) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA G41079) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-12-17 |