NPI | 1952387300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D41786) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MO-039584-E) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 19105) | |
Enumeration Date | 2005-12-19 |
Last Update Date | 2022-11-25 |