NPI | 1962847541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A154880) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2013-05-08 |
Last Update Date | 2018-08-01 |