NPI | 1962832147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME21416) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME21416) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2013-11-25 |