NPI | 1972523769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A51070) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A51070) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2008-09-23 |