NPI | 1972693554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301112462) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112462) |
207RP1001X Internal Medicine Pulmonary Disease (Licence: CO 42161) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2022-07-21 |