NPI | 1952510034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME146537) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 146537) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2025-06-10 |