NPI | 1962475491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 62472) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WI 29445) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2025-03-03 |