NPI | 1962516682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.12226) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 000012226) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2023-11-08 |